Jude Dante, is a
Physician Assistant - Medical physician based in Los Angeles, California. Jude Dante is licensed to practice in Arizona (license number 9541-PA-C) and his current practice location is 6363 Wilshire Blvd Ste 516, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(561) 543-3096.
NPI number for Jude Dante is 1932804713 and his current mailing address is 4904 Messana Ter, Lake Worth, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932804713.
Physician's Profile
| Full Name | Jude Dante |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 6363 Wilshire Blvd Ste 516, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932804713
- Provider Enumeration Date: 04/03/2023
- Last Update Date: 04/03/2023
Medical Identifiers
Medical identifiers for Jude Dante such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932804713 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 9541-PA-C (Arizona) | Secondary |
| 207R00000X | Internal Medicine | 9541-PA-C (Arizona) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 9541-PA-C (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jude Dante is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jude Dante,
4904 Messana Ter,
Lake Worth, FL 33463-7291
Ph: (561) 543-3096 | Jude Dante,
6363 Wilshire Blvd Ste 516,
Los Angeles, CA 90048-5726
Ph: (561) 543-3096 |
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